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�, <br /> f- ,,,� <br /> ��� NOTICE <br /> ���s AND INSPECTION �tEPORT <br /> evcretl / <br /> � /Wdress � 9�� � ��e (T/ C. !9 V `L' <br /> Contractor Nr.V�Q �✓� �C�'S7 <br /> Owncr /� �� � � � } , <br /> Rcnucs�ed by C'�Tu N�.+>`i••�� +�r�i v 17-.+t 17a/ <br /> TYPE OF INSPECTION REQUESTED <br /> ;] BLDG: Pmt. No. ❑ MECH: Pmt. No. � <br /> ❑ ELEC: Pmt. No. "�LBG: Pmt. No. � �1` I <br /> ❑ Fcwting ❑ Frcming ❑ 6ronch Circuit <br /> ❑ Fcundation ❑ DryHoil Noiling ❑ Fumacc <br /> ❑ Concrete Slab ❑ Rough-In ,�'�nal <br /> ❑ Fireplate ond Chimney ❑ Service ❑ Othcr <br /> ❑ APPROVAL ❑ PARTIAL APPROVAL <br /> ❑ VIOLATION ❑ :ORRECTION REQUIRED <br /> ❑ Corrections listed below MUST f3"t MADE befcre work can be upprwed. <br /> ❑ APPROVED FOR OCCUPANGY subject to eerlificote of oca�pancy. <br /> ❑ Work listed below hos been inspec�ed and opproved. <br /> ❑ Plcom enntaet inspcUor and armngc far oppointment. <br /> ❑ Was nct oble to perform in�pccticn. <br /> ❑ CALL 259-8745 FOR REINSPECTION — 24 hour notice required. <br /> -— ---�� --- <br /> Insptcic. �� j� - Dotc—��— <br /> ���� ..� <br /> I wos p� %enf durinp this inspection. <br /> n:.�''.f -. --..--___—__—_—_— _— <br />